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MOFESOLA MODUPE DO
NPI 1457932014
Pediatrics in Augusta, ME

Active since April 15, 2021PECOS Enrolled
6 E CHESTNUT ST STE 310, AUGUSTA, ME 04330(207) 623-2977(207) 626-9374 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 22, 2026, Apr 15, 2021 (2 updates tracked since 2021).

About Mofesola Modupe Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOFESOLA MODUPE DO (NPI 1457932014) is an individual pediatrics provider in Augusta, Maine, licensed in Maine (DO4361) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Peoria.

NPPES Registry Identity

NPI1457932014
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMOFESOLA MODUPECredential: DO
Location Address6 E CHESTNUT ST STE 310Augusta, ME 04330-5760
Mailing Address530 Ne Glen Oak AvePeoria, IL 61637-0001
Phone(207) 623-2977
Fax(207) 626-9374
Sole ProprietorNo
Enumeration DateApril 15, 2021
Last NPPES UpdateJuly 22, 20262 updates tracked since enumeration
NPPES CertifiedJuly 22, 2026
✔ NPI 1457932014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in ME · DO4361
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
6 E CHESTNUT ST STE 310, Augusta, ME 04330
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Secondary Practice Location 1

Location 1530 NE Glen Oak AvePeoria, IL 61637-0001 · Phone (309) 665-2274

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mofesola Modupe Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mofesola Modupe reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mainegeneral Medical Center
1.3 mi
General Acute Care Hospital
35 MEDICAL CENTER PARKWAY
Augusta, ME 04330
  • Reassigned Medicare billing, Maine enrollment
  • 978 clinicians in this Medicare group
NPI 1083949184 (207) 872-4454

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04330 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THERESA BLOOM CPNP-PC
Nurse Practitioner (Pediatrics)
6 E CHESTNUT ST STE 310
AUGUSTA, ME 04330
Kennebec County (207) 623-2977
GERARD RUBIN D.O.
Pediatrics
6 E CHESTNUT ST STE 310
AUGUSTA, ME 04330
Kennebec County (207) 623-2977
KRISTINE M PLEACHER MD
Pediatrics
6 E CHESTNUT ST STE 310
AUGUSTA, ME 04330
Kennebec County (207) 623-2977

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mofesola Modupe's NPI number?

The NPI number for Mofesola Modupe is 1457932014. It was assigned to this individual provider in the NPPES registry on April 15, 2021.

Where is Mofesola Modupe located?

Mofesola Modupe practices at 6 E Chestnut St Ste 310, Augusta, ME 04330. The listed phone number is (207) 623-2977.

What is Mofesola Modupe's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Mofesola Modupe enrolled in Medicare?

Yes. Mofesola Modupe is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mofesola Modupe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mofesola Modupe reassigns Medicare benefits to Mainegeneral Medical Center (Augusta, ME). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mofesola Modupe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mofesola Modupe accept?

Health plans from Anthem Blue Cross and Blue Shield list Mofesola Modupe as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mofesola Modupe was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.